Urinary incontinence is a disease in which urine cannot be controlled in the waking state and flows out on its own. It can occur at any age, but is more common in women and the elderly. Hong Jie, the Department of Acupuncture and Moxibustion of the Affiliated Hospital of Changchun University of Traditional Chinese Medicine, western medicine is divided into 4 categories according to the cause of the disease, namely, true incontinence, pseudo incontinence, stress incontinence and congenital incontinence; and is divided into 5 categories according to the clinical manifestations, namely, stress incontinence, urgency incontinence, reflex incontinence, non-resistant incontinence, and overflowing incontinence. Chinese medicine believes that this disease is mostly due to post-disease qi deficiency, labor injury, old age and kidney deficiency, so that the lower element is not solid, the bladder is out of contract. Other traumas such as stagnation of the lower burner, dampness and heat injected into the bladder can also lead to urinary incontinence. Western medicine to identify the disease 1, true urinary incontinence bladder or urethra infections, stones, tumors and tuberculosis and other disorders so that the bladder forced urethral muscle over-contraction, urethral sphincter relaxation or paralysis caused by the bladder to lose the function of urinary storage, there is a urine that is discharged, similar to urinary frequency. 2.Pseudo incontinence Lower urinary tract obstruction (urethral stenosis, prostate hyperplasia or tumors, etc.) or bladder muscle weakness, paralysis (congenital malformations, injurious lesions, tumors and inflammatory lesions, etc. leading to the regulation of the bladder lower motor neuron damage), resulting in overstretching of the bladder, the internal pressure rises to cause the urinary stream is forced to overflow, also known as “overflow incontinence The bladder is also known as “overflow incontinence”. 3, stress incontinence due to urethral sphincter relaxation and incontinence, also can be seen in pregnancy uterine compression, birth injury, pelvic tumor compression. 4, congenital incontinence can be seen in a variety of congenital malformations of the urinary tract. 5, stress incontinence is mostly seen in functional urethral sphincter relaxation, when the abdominal pressure suddenly increased, such as coughing, sneezing, laughing, walking or running, a small amount of urine involuntary overflow. Clinical according to the degree of symptoms is divided into three degrees: I degree: coughing, laughing, sneezing, incontinence occurs when strenuous activities, II degree: standing, walking, breath holding and other minor exertion, or from the sitting position when the incontinence of standing up, III degree: incontinence has nothing to do with the activities, lying down can also occur incontinence of urine involuntarily overflow. 6, non-resistance urinary incontinence urethral sphincter paralysis, urethral resistance is completely lost, the bladder can not store urine, the patient in the standing all urine from the urethra outflow. 7, reflex incontinence caused by complete upper motor neuron lesions, urination relies on spinal reflexes, the patient involuntarily intermittent urination (intermittent incontinence), urination without feeling. 8, Urge incontinence is mainly characterized by strong, uncontrollable urinary frequency, urinary urgency and other symptoms. Patients often have the feeling that “I must go to the toilet immediately, but I pee out before I reach the door”. Its etiology is more complex, can be broadly divided into two categories: ① neurogenic incontinence is mainly due to the spinal nerve system lesions (cerebrovascular disease, brain tumors, traumatic brain injury, as well as Parkinson’s disease, etc.) caused by the hyperreflexia of the forced urethra muscle, once sphincter nerve damage or fatigue, can not resist the pressure generated by the forced urethra muscle reflex, which can lead to urinary incontinence; such as the cortical sensory center is completely impaired, the inhibitory response will also disappear, which will be even more important. If the cortical sensory center function is completely damaged, this kind of inhibitory response will also disappear, thus aggravating the symptoms of urinary incontinence. Non-neurogenic incontinence is mainly caused by bladder lesions secondary, including bladder infection, stones, tumors, tuberculosis, foreign bodies, prostate hyperplasia, interstitial cystitis and other stimuli to increase the sensitivity of the bladder, causing unstable contraction of the urethral muscle, resulting in urinary incontinence. 9, overflow incontinence lower urinary tract has more serious mechanical (such as prostatic hyperplasia) or functional obstruction caused by urinary retention, the patient’s bladder is distended, when the intravesical pressure rises to a certain level and exceeds the urethral resistance, the urine continuously drips out of the urethra. Chinese medicine diagnosis In the waking state urine can not be controlled and flow out on its own, or due to coughing, sneezing, laughing, shouting, walking, running, being frightened or hearing the sound of dripping, the urine flows out on its own. Kidney Qi deficiency Urinary incontinence, clear and long urine, aggravated by cold, soreness and weakness of waist and knees, weakness of feet, pale tongue, thin moss, and weak pulse. 2, Spleen and Lung Qi deficiency Urinary incontinence, frequent urination, shortness of breath and laziness, body weight and weakness, fat tongue and slow pulse. Incontinence of urination, abdominal distension and pain, history of pubic trauma or pubic surgery, dark tongue or purple spots, thin moss, dull pulse. Acupuncture and moxibustion treatment Treatment Benefiting qi and tonifying the kidney, clearing the channels and removing stasis, and using acupuncture and moxibustion together. Main points: kidney yu, bladder yu, sanyinjiao, zhongji, zhongji tuo qu bone, kidney qi is not solid plus qihai, vital gate; spleen and lung qi deficiency plus lung yu, spleen yu, foot sanli; lower jiao stagnation plus zhongzhong, taichong. Pressing the main point of bladder yu with kidney yu to replenish kidney qi and strengthen the bladder; bladder yu with zhongji yu recruitment matching method, can regulate the kidney and bladder qi, and enhance the bladder’s ability to constrain the urine. In the case of prolonged illness, Zhongji is used as a localized acupoint to regulate qi and blood, and Sanyinjiao is used to clear the channels and eliminate blood stasis. Supporting points plus Qi Hai and Vitality Gate to benefit the qi and consolidate the root; plus Lung Yu, Spleen Yu, and Foot Sanli to tonify the lungs and spleen, Chinese medicine believes that the lungs are the source of water, and the spleen is capable of transporting and transforming water and dampness, which is the method of cultivating the earth and generating gold; and adding the Commission, Taichong, to promote the circulation of qi and eliminate blood stasis. 1, stress urinary incontinence, drug treatment is usually not effective. Chinese medicine is believed to be due to the deficiency of kidney qi, caused by the sinking of the middle qi, the treatment is mostly used to replenish the kidney qi, enhance the middle qi is mainly. Acupuncture and moxibustion is often better. 2, drink more water can promote urinary reflex, and can prevent urinary tract infection. If there are no contraindications, patients can be instructed to consume about 2000ml of fluid per day. However, drinking water should be restricted before going to sleep to reduce the amount of urine at night. 3. Instruct the patient to exercise the pelvic floor muscles to enhance the ability to control urination. Train intermittent micturition, that is, stop or slow down the urine flow during each micturition, as well as contract the pelvic floor muscles before any “incontinence-inducing action”, such as coughing, bending over, etc., so as to suppress unstable bladder contraction and reduce the urgency of micturition and overflow of urine. 4, emphysema, asthma, bronchitis, obesity, etc., can cause increased abdominal pressure and lead to urinary incontinence, should be actively treating such chronic diseases, improve the nutritional status of the whole body.